Register for Online Services

To register for our online services, please complete this form.

We will then issue you a username and password.

Once you are registered you will be able to use the service to:

  • Order your repeat prescriptions
  • Cancel an appointment
  • Change your contact details
  • Review your medications and known allergies
Register for Online Services

Register for Online Services

Section

I wish to have online access to (please tick all that apply):
I wish to access my medical record online and understand and agree with each statement: *

Terms and Conditions

  • I understand that it is my responsibility to keep my account secure by keeping my details confidential
  • I understand that I can terminate my account at any time by contacting the surgery, or change my log in details by re-registering and that this form will be kept on my electronic records
  • I understand that my registration will be revoked if I constantly miss or cancel appointments.
*
To complete your registration, please upload proof of identity, this should include photographic ID and proof of address.
Drop a file here or click to upload Choose File
Maximum upload size: 67.11MB